April 2011 Br J Cardiol 2011;18:73−6
Ronak Rajani, Malin Lindblom, Gaynor Dixon, Muhammed Z Khawaja, David Hildick-Smith, Stephen Holmberg, Adam de Belder
In 2008 there were 1.3 million members of the population of the UK above the age of 85 years.1 By 2033 this number is expected to more than double to 3.2 million.1 This would represent approximately 5% of the population. Given the marked prevalence of coronary disease in the elderly it is likely that in the future cardiologists will be treating an increasing number of octogenarians as part of their patient population. Despite this, there remains a reluctance to perform percutaneous coronary intervention (PCI) in this patient group. Cardiologists often opt for medical treatment, and perceive this to be an acceptable strategy given the co-mo
February 2010 Br J Cardiol 2010;17:40-3
Nevin T Wijesekera, Simon P G Padley, Gonzalo Ansede, Robert P Barker, Michael B Rubens
Introduction Very elderly individuals are the fastest growing segment of most Western populations, with those aged 80 and older projected to triple in number by the middle of this century.1,2 The prevalence of coronary artery disease is high in this age group, and diagnostic investigations are being used with increasing frequency when angina is poorly controlled by medical therapy. However, due to more extensive disease and less functional reserve, invasive investigations have a higher complication rate in the very elderly than in younger patients.3 Therefore, non-invasive tests that identify those patients most likely to benefit from invasiv
November 2006 Br J Cardiol 2006;13:367-9
Samira Siddiqui, Chris Isles, Ewan Bell, Alan Begg
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